Orthopedic Device

ABSTRACT

An orthopedic device comprises a frame assembly comprising a parallel frame member and a perpendicular frame member. Each of the parallel frame member and the perpendicular frame member are substantially elongate in shape, and each have a first end and a second end. The orthopedic device further comprises at least three primary extensions each having a mount end and a free end. The perpendicular frame member is coupled by the first end thereof to the parallel frame member along the length of the parallel frame member between the first end and the second end thereof. Each of the at least three primary extensions is adjustably disposed by the mount end thereof along the frame assembly.

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional PatentApplication No. 63/009,109, filed 2020 Apr. 13 by the present inventor,which is hereby incorporated by reference herein in its entirety.

FIELD OF THE INVENTION

The invention relates to an orthopedic device.

FEDERALLY SPONSORED RESEARCH

None

SEQUENCE LISTING

None

BACKGROUND

When a skeletally immature patient is diagnosed with a orthopedicdeformity such as scoliosis or hyperkyphosis a custom made brace isoften prescribed for the patient during the ages of skeletal immaturity.Throughout history doctors, orthotists, and other medical practitioners(brace makers) have employed various techniques for casting patients'body shapes and measuring patients' body dimensions in order tofabricate custom spinal orthoses. The techniques used in modern practiceinclude casting a patient's torso with a physical material such as acombination of plaster & gauze that is formable when wet, and hardensquickly creating a rigid form with which a mold can be made; or, using adigital 3-dimensional optical scanner to record the dimensions and shapeof the patient's torso which is rendered as a 3-dimensional shape on acomputer screen.

Brace makers may fabricate spinal orthoses based on a patient's torsoshape that is casted in a relaxed, uncorrected position or in apre-aligned position that is corrected to the best of the brace maker'sability. Brace makers who cast patients in a pre-aligned/correctedposition have used a variety of methods in an attempt to achieve themost corrected position in which the patient's spine is closest to thatof a physiologically normal spine. The methods include: utilizingstationary fixtures such as a horizontal bar that patients bend over orlean against; stationary frames (anchored to the floor, or walls) withextensions to push and apply external force to the patient's body; and,utilizing the brace maker's own hands, arms and body to hold the patientin a corrected position.

After casting the shape and dimension of a patient's torso using one ofthe previously described techniques, the brace maker may makemodifications to the shape of the cast or mold to optimize the fit andeffectiveness of the brace once it is fabricated. Modifying the shape ofthe cast or mold in an attempt to improve the positioning of thepatient's spine in the finalized brace is a subjective process requiringguesswork on the part of the bracemaker and is susceptible to error.Generally, casting a patient in the uncorrected position requires moremodification of the shape of the cast or mold to achieve the desiredposition and alignment of the patient's spine in the final fabricatedspinal orthosis.

Bracemakers have attempted to improve the process by casting patients ina corrected position as previously described, however casting thepatient in a position in which a brace is capable of holding a patienthas been difficult. Some bracemakers attempt to utilize a frame or otherobject that is completely stabilized (i.e. fixed to the floor or wall orweighs so much that it is essentially fixed to the floor) to manipulatethe patient's torso & spine position. A spinal orthosis is not capableof manipulating the patient's torso & spine position in such a manner,so inherently, the cast of the patient's torso being manipulated by astable device is not a realistic impression of the effect of a proposedspinal orthosis. A spinal orthosis, when worn by a patient, is held inplace by the features and characteristics of the patient's own body.Therefore, any method of positioning a patient's torso and spine forcasting that involves the use of a stabilized or fixed device will onlyprovide an unrealistic estimate of the effect of a potential spinalorthosis.

Skeletally immature patients diagnosed with a orthopedic deformity suchas scoliosis may alternatively be treated with a cast around their torsopurposed to hold the patient in a position of improved spinal alignment.The traditional method for applying the cast involves using acombination of traction and the practitioner's hands to manually improvethe patient's spinal position with the unhardened cast material appliedto the patient. The practitioner continues to manually hold the positionof the patients torso while the cast material is hardening until it iscompletely hardened. This is an imprecise method that requires using apractitioners hands and arms over a prolonged period that is subject toan even greater amount of error as the practitioner's upper extremitiesbecome fatigued.

Skeletally immature patients diagnosed with a orthopedic deformity suchas scoliosis or hyperkyphosis may alternatively be prescribed specificphysical therapy exercises that require the patient to move the positionof their torso assymetrically based on the cues and instructions of thephysical therapist. The physical therapist may use facilitory orinhibitory techniques to assist the patient in performing the desiredmovement. The patient's, in some cases, experience a great amount ofdifficulty in initially learning how to achieve the desired movement. Itcan be difficult for a physical therapist to guide a patientexperiencing difficulty achieving the desired movement as it can requirethree or more points of contact with the patient in order to guide thepatient into achieving the desired movement.

SUMMARY

An orthopedic device comprises a frame assembly comprising a parallelframe member and a perpendicular frame member. Each of the parallelframe member and the perpendicular frame member are substantiallyelongate in shape, and each have a first end and a second end. Theorthopedic device further comprises at least three primary extensionseach having a mount end and a free end. The perpendicular frame memberis coupled by the first end thereof to the parallel frame member alongthe length of the parallel frame member between the first end and thesecond end thereof. Each of the at least three primary extensions isadjustably disposed by the mount end thereof along the frame assembly.

BRIEF DESCRIPTION OF THE DRAWINGS

In order that the features, aspects, and advantages of an orthopedicdevice may be more readily understood, reference will now be made to theaccompanying drawings which illustrate embodiments of the orthopedicdevice.

FIG. 1 is a left rear perspective view of an embodiment of an orthopedicdevice without contact panels pictured.

FIG. 2 is a rear view of the orthopedic device of FIG. 1.

FIG. 3 is a rear view of an embodiment of an orthopedic devicepositioned on a user with the device oriented and configured foralignment of a scoliosis curve with a right thoracic apex or a doublescoliosis curve with a right thoracic apex and a left lumbar apex.

FIG. 4 is a front view of the orthopedic device of FIG. 3 with threeadjustable arms and six contact panels in view.

FIG. 5 is a left perspective view of the orthopedic device of FIG. 3.

FIG. 6 is a right perspective view of the orthopedic device of FIG. 3.

FIG. 7 is a rear perspective view of the orthopedic device of FIG. 3positioned on a user with the orthopedic device oriented and configuredfor alignment of a scoliosis curve with a left lumbar apex. Contactpanels are applied to the right thoracic region, the right pelvic area,and the left lumbar region.

FIG. 8 is a rear perspective view of the orthopedic device of FIG. 3positioned on a user with the orthopedic device oriented and configuredfor alignment of a scoliosis curve with a left thoracic apex, or adouble scoliosis curve with a left thoracic apex and a right lumbarapex. A contact panel is applied to each of the following regions: theright axillary region, the right lumbar area, and the left thoracicregion.

FIG. 9 is a rear perspective view of the orthopedic device of FIG. 3positioned on a user with the orthopedic device oriented and configuredfor alignment of a scoliosis curve with a right lumbar apex. A contactpanel is applied to each of the following regions: the left thoracicregion, the left pelvic region, and the right lumbar region.

FIG. 10 is a rear perspective view of the orthopedic device of FIG. 3positioned on a user with the orthopedic device oriented and configuredfor alignment of a scoliosis curve with a right thoracic apex and a Leftthoracolumbar apex. A contact panel is applied to each of the followingregions: the left axillary region, the left thoracolumbar region, andthe right thoracic region.

FIG. 11 is a top perspective view of a parallel extender assembly with aforce plate between the contact panel and the contact panel spacers,with the assembly in a retracted position.

FIG. 12 is a top perspective view of the parallel extender assembly ofFIG. 11 in an extended position.

FIG. 13 is a rear view of an embodiment of an orthopedic device with asliding perpendicular frame member and fourth primary extensionpositioned on a user with the device oriented and configured foralignment of a double scoliosis curve with a right thoracic apex and aleft lumbar apex.

FIG. 14 is a left perspective view of an embodiment of an orthopedicdevice configured for alignment of hyperkyphosis of the thoracic spine,oriented and configured for contact panels to be applied at the upperanterior pelvis, the superior sternum and the mid thoracic spine region.

FIG. 15 is a left rear perspective view of an embodiment of theorthopedic device configured with frame brackets, a bracket connector,suspension frame members, suspension loops, and pivoting plates,wherein, the parallel frame member rotates relative to the perpendicularframe member.

FIG. 16 is a right front perspective view of the orthopedic device ofFIG. 15 providing a view of a secondary extension, an anchor of theadjustment arm, a parallel extender assembly, and a second suspensionframe member.

FIG. 17 is a detailed top perspective view of the parallel extenderassembly of the embodiment of FIG. 15 showing a pivoting plate, apivoting shaft bracket, and an adjustment shaft knob.

FIG. 18 is a detailed perspective view of the pivoting plate mounted ona sliding fixture of the embodiment of FIG. 15.

FIG. 19 is a detailed perspective view of the pivoting plate mounted inan angled position on the sliding fixture of the embodiment of FIG. 15.

DETAILED DESCRIPTION OF VARIOUS EMBODIMENTS

Advantages

The device according to the present disclosure provides an apparatuswith which to measure, position, align, realign, approximate, assess,hold, suspend, compress, extend, cue, inhibit, and/or facilitate apatient for the purpose of assessing or treating a musculoskeletalcondition in a manner that is effective, quantitative, and/orreproducible relative to traditional methods.

Overview

Some embodiments of the current invention are discussed in detail below.In describing embodiments, specific terminology is employed for the sakeof clarity; however, the invention is not intended to be limited to thespecific terminology so selected. A person skilled in the relevant artwill recognize that other equivalent components can be employed andother methods developed without departing from the broad concepts of thecurrent invention. All references cited anywhere in this specification,including the Background and Detailed Description sections, areincorporated by reference as if each had been individually incorporated.

A better understanding of different embodiments of the invention may behad from the following description read with the accompanying drawingsin which like reference characters refer to like elements.

For further ease of understanding the embodiments of an orthopedicdevice and variants as disclosed, a description of a few terms isnecessary. As used, the term “posterior” has its ordinary meaning andrefers to a location behind or to the rear of another location. The term“anterior” has its ordinary meaning and refers to a location ahead of orto the front of another location. The term “superior” has its ordinarymeaning and refers to a location above or over top of another location.The term “inferior” has its ordinary meaning and refers to a locationbelow or under another location. The term “Right” and “Left” have theirmeaning relative to the orthopedic device user's anatomical right andleft. The anatomical terms described herein are not intended to detractfrom the normal understanding of such terms as readily understood by oneof ordinary skill in the art of orthopedics.

The term “semi-rigid” may be used to connote properties that providestiffness, support and are free-standing; however components thatpossess such properties may have some degree of flexibility andresiliency.

The embodiments of the disclosure are adapted for a human body, and maybe dimensioned to accommodate different body types, shapes, proportionsand sizes of humans as well as for animal species other than homosapian.For explanatory purposes, the orthopedic device embodiments describedare referred to as corresponding to different sections and features of ahuman body and are denoted by general anatomical terms for the humanbody.

Various Embodiments of the Orthopedic Device

In an embodiment shown in FIGS. 3-10, an orthopedic device is providedfor, among other functions, measuring and positioning the alignment of adeformed human spine in frontal, sagittal and/or transverse planestoward that of a structurally and physiologically normal spine.

A frame assembly 41 comprises at least two frame members. In theembodiment of FIGS. 3-10 the frame assembly 41 comprises a perpendicularframe member 43 having a first end and a second end and a parallel framemember 42 having a first end, and a second end, wherein theperpendicular frame member 43 is rigidly coupled by its first end to theparallel frame member 42. The perpendicular frame member 43 is orientedperpendicular to the parallel frame member 42.

The device according to the present disclosure comprises at least threeprimary extensions each having a mount end and a free end. In theembodiment of FIGS. 3-10, a first primary extension 21 having a mountend and a free end is slidably coupled by its mount end to the parallelframe member 42 between the first end of the parallel frame member 42and the location on the parallel frame member 42 at which theperpendicular frame member 43 is coupled. A second primary extension 22having a mount end and a free end is slidably coupled by its mount endto the parallel frame member 42 between the second end of the parallelframe member 42 and the location on the parallel frame member 42 atwhich the perpendicular frame member 43 is coupled. A third primaryextension 23 having a mount end and a free end is slidably coupled byits mount end to the perpendicular frame member 43.

According to the present disclosure, each of the at least three primaryextensions comprise at least one slot 26, the slots 26 running parallelto the long axis of the respective primary extension. In the embodimentof FIGS. 3-10, each of the first and second primary extensions 21,22define two slotted surfaces, the slots 26 running parallel to the longaxis of the respective primary extension. The third primary extension 23defines four slotted surfaces, the slots 26 running parallel to the longaxis of the third primary extension 23.

In the embodiment of FIGS. 3-10, each of the first, second, and thirdprimary extensions 21, 22, 23, are oriented substantially perpendicularto both the parallel frame member 42, and the perpendicular frame member43 and remain in the perpendicular orientation thereof regardless oftheir coordinates relative to the respective frame members to which theyare slidably coupled. Additionally, each of the first, second, and thirdprimary extensions 21,22,23 remain substantially parallel to one anotherregardless of their relative coordinates along the axis of therespective frame members to which they are slidably coupled. Each of thefirst, second, and third primary extensions 21,22,23 are configured tolock in a selected position along the length of the slot of therespective frame members to which they are slidably coupled via thumbscrews 25.

The device according to the present disclosure comprises at least onesliding fixture 24 having a first end and a second end, and having aprojection side 27 and a panel side 28. The projection side 27 of thesliding fixture 24 is configured to slideably mount to and selectivelylock in-place on the at least one slot 26 defined by any one of the atleast three primary extensions 21, 22, 23. The device according to thepresent disclosure further comprises at least one contact panel 34,configured with a contour to accommodate the surface anatomy of theregion to which the contact panel 34 is applied. The at least onecontact panel 34 is configured to mount on the at least one slidingfixture 24.

In the embodiment of FIGS. 3-10 one sliding fixture 24 is disposed onone slot 26 defined by each of the first and the second primaryextensions 21,22. The position of each sliding fixture 24 is adjustablealong the length of the slots 26 of the first and second primaryextensions 21,22 running parallel to the long axis of its respectiveprimary extension. Additionally, each sliding fixture 24 is configuredto selectively lock in an unlimited number of positions along the lengthof the slots 26 of the first and the second primary extensions 21,22. Athumb screw 33 placed through a hole defined by the sliding fixturetoward the second end of the sliding fixture is configured toselectively lock the position of the sliding fixture 24.

In the embodiment of FIGS. 3-10 contact panels 34 are configured tofasten to the sliding fixtures 24. The contact panels 34 comprisesemi-rigid to rigid panels contoured to accommodate the shape of theregion of the user's body to which they are intended to contact, suchthat forces are distributed across the contact panel 34. In theembodiment of FIGS. 3-10, spacers 40 are positioned between the contactpanels 34 and the sliding fixtures 24. While the embodiment of FIGS.3-10 depicts spacers 40 being positioned between the contact panels 34and sliding fixtures 24, other means for fastening the contact panels 34to the sliding fixtures 24 may be employed.

In the embodiment of FIGS. 3-10, a parallel extender assembly 50 isadjustably mounted to the third primary extension 23. In the embodimentof FIGS. 3-10, the parallel extender assembly 50 comprises a stationaryplate 51, the stationary plate being adjustably mounted to the thirdprimary extension 23, four struts 53, each strut having a first end anda second end, a moving plate 52, an adjustment shaft 55 having a firstend and second end, and an adjustment shaft engager 54 having acylindrical body and a threaded hole through the body thereof. Thestationary plate 51, is pivotally attached to four struts 53 by thefirst end of the struts 53. Each strut 53 rotates about one axisrelative to the stationary plate 51, the axis of rotation of each strut53 being substantially parallel to the axis of rotation of the otherthree struts 53.

The moving plate 52 is coupled to the second end of the four struts 53,each strut 53 rotating about one axis relative to the moving plate 51.The axis of rotation of each strut 53 relative to the moving plate issubstantially parallel to the axis of rotation of each strut 53 relativeto the stationary plate 51.

In the embodiment of FIGS. 3-10, the form of the adjustment shaftengager 54 is consistent with that of a dowel nut. The adjustment shaftengager 54 is rotatably fit into a hole defined by the third primaryextension 23, the third primary extension 23 defining a slot, the slotbeing oriented to allow movement of the adjustment shaft 55 through thethreaded hole of the adjustment shaft engager 54.

In the embodiment of FIGS. 3-10, rotation of the adjustment shaft 55about the long axis of the adjustment shaft, adjusts the length of theadjustment shaft between the adjustment shaft engager 54 and the movingplate 52. The second end of the adjustment shaft 55 is substantiallyrounded, and interfaces with the moving plate 52 via an indentation inthe moving plate 52 that matches the second end of the adjustment shaft55. The adjustment shaft 55 is able to rotate about the long axisthereof 55, and rotate about the axis of the cylindrical body of theadjustment shaft engager 54 while the second end of the adjustment shaft55 remains in the indentation of the moving plate 52.

While this embodiment depicts the parallel extender assembly 50 as usingfour pivoting struts 53, a parallel extender assembly 50 may employ anynumber of struts 53.

The embodiment of FIGS. 3-10 depicts the adjustment shaft as a threadedmachine screw; however, an adjustment shaft may employ an alternate formwith or without threads.

The embodiment of FIGS. 3-10 depicts the adjustment shaft engager as adowel nut; however an adjustment shaft engager may employ an alternateform, with or without threads, for controlling the position of theadjustment shaft relative to the component to which the adjustment shaftengager is coupled.

In the embodiment of FIGS. 3-10, the contact panel 34 is mounted to themoving plate 52 with spacers 40 positioned between the contact panel 34and the moving plate 52. While the embodiment of FIGS. 3-10 depictsspacers 40 being positioned between the contact panel 34 and the movingplate 52, other means for fastening the contact panel 34 to the movingplate 52 may be employed. Additional dowel nut holes may be placed alongthe length of the primary extension to which the parallel extenderassembly 50 is coupled in order to adjust the position of the parallelextender assembly 50 on the primary extension to which it is coupled.

In the embodiment of FIGS. 3-10 the parallel extender assembly 50 isconfigured to adjust the position of the contact panel 34 mounted on themoving plate 52 along an arced path relative to the third primaryextension 23 and the frame assembly 41. The radius of the arced path isdefined by the length of the struts 54. In the embodiment of FIGS. 3-10,the position of the moving plate 52 relative to the stationary plate 51is adjustable in an infinite number of increments by the adjustmentshaft 55.

FIG. 11 depicts a force plate 65 of the embodiment of FIGS. 3-10 mountedbetween the moving plate 52 and the contact panel 34.

In the embodiment of FIG. 3-10, three adjustable arms 30 are configuredto slidably mount to combinations of the first, second, and thirdprimary extensions 21, 22, 23 via slots 26 defined by the primaryextensions thereof. Each of the three adjustable arms 30 has a mount endand a free end, the mount end thereof being slidably mounted to one ofthe three primary extensions 21, 22, 23. In the embodiment of FIGS.3-10, one of the three adjustable arms 30 is slidably mounted to thesecond primary extension 22 and two of the three adjustable arms 30 areslidably mounted to the third primary extension 23. While the embodimentof FIGS. 3-10 depicts the aforementioned combination of adjustable arms30, the embodiment thereof is configured for between zero and sixadjustable arms 30 to slidably mount to any combination of the firstprimary extension 21, second primary extension 22, and third primaryextension 23.

In the embodiment of FIGS. 3-10, each adjustable arm 30 is configured toallow a linear adjustment of its position along the slot 26 of theprimary extension to which it is coupled. The position of eachadjustable arm 30 along the defined slots 26 are lockable via thumbscrews 31. Each adjustable arm 30 defines a pivoting joint 35 aroundwhich the angle of the free end of the adjustable arm is adjustablerelative to the mount end of the adjustable arm 30. The axis of rotationof the pivoting joint 35 of the adjustable arm 30 is parallel to thelong axis of the primary extension 21, 22, 23 to which the adjustablearm 30 is slidably mounted. Each adjustable arm's pivoting joint 35 isselectively lockable via a locking screw.

In the embodiment of FIGS. 3-10, the surface of each adjustable arm 30facing the mount end of the primary extension to which the adjustablearm 30 is slidably mounted defines a slot 37 oriented parallel to thelong axis of the adjustable arm 30. A sliding fixture 32 is slidablymounted to the adjustable arm 30 via the slot 37 thereof. Contact panels36 are mounted to the sliding fixtures 32. The position of the slidingfixtures 32 are selectively lockable along the slot to which the slidingfixture 32 mounts via a thumb screw 33.

A linear scale 49 may be placed or engraved on at least one surface ofthe parallel and/or perpendicular frame member(s) 42,43, and may also beplaced or engraved on at least one surface of the primary extensions21,22,23. In the embodiment of FIGS. 3-10 a linear scale 49 is placed orengraved on the posterior surface of the parallel and perpendicularframe members 42,43.

The linear scale 49 placed or engraved on the frame assembly isconfigured for measuring the distances between contact panels 34. Inother embodiments, linear scales placed or engraved on the surface ofprimary extensions configured for measuring the distance between contactpanels 34, 36 may be employed.

The device according to the embodiment of FIGS. 3-10 may be completelysupported by the user while the device is in use made possible by thefriction of the contact panels 34,36 applying compressive force on theexternal surface of the user's body. The device according to theembodiment of FIGS. 3-10 may also be supported through a combination ofthe aforementioned friction and a supplemental waist strap 61 fastenedto the contact panel 34 positioned closest to the user's waist toaugment the support provided by the friction of the contact panels 34,36on the user's body. The device according to the embodiment of FIGS. 3-10may also be partially supported by cord(s) fastened to hardware on thesurface of one or more of the frame members 42,43 or one or more of theprimary extensions 21,22,23. The elastic cord is positioned to evenlysupport only the weight of the device without creating any additionalforce vectors that would influence the position of the user.

The device according to the embodiment of FIGS. 3-10 may be configuredto use with the frame assembly 41 on a horizontal surface with theprimary extensions 21, 22, 23 in a vertical position. Spacers may beattached to the side of the frame assembly 41 that would otherwise touchthe horizontal surface to space the frame assembly 41 away from thehorizontal surface thereby increasing the ease with which the primaryextensions 21, 22, 23 may be adjusted on the frame assembly.

Operation of the Embodiment of FIGS. 3-10

The embodiment of FIGS. 3-10 is configured to move the users torso intoa position in which the user's scoliotic spine is closer to that of aphysiologically normal spine via the change in position of the contactpanels 34,36, and the effect thereof on the user's body position.

The first step in operating the embodiment of FIGS. 3-10 is to determinehow the device will be oriented and where the primary extensions21,22,23 will be positioned relative to the user's body for applicationin later steps after the appropriate contact panels 34 have beenmounted.

The device will be oriented such that the frame assembly 41 ispositioned posterior to the user's torso, with the primary extensions21,22,23 positioned lateral to the user's torso with the first andsecond primary extension 21,22 on the side of user's torso opposite thatof the scoliosis curve apex targeted for treatment, and the thirdprimary extension 23 on the same lateral side of the user's torso as thescoliosis curve apex that is targeted for treatment. The second ends ofthe first, second and third primary extensions 21,22,23 will projectposteriorly of the user's torso, and the first ends of the primaryextensions 21,22,23 thereof will project anterior of the user's torso.

The relative height at which each primary extension 21,22,23 should bepositioned to interface with the user's body via contact panels 34 mustbe determined and will vary depending on the characteristics andlocation of the scoliosis curve and the scoliosis curve's apex.

If the targeted scoliosis curve's apex is to the user's anatomicalright, the height at which the first primary extension 21 and secondprimary extension 22 should be positioned at the left lateral midline ofthe user's torso is at the height corresponding to the vertebraeconsidered to be the top of the scoliosis curve and the bottom of thescoliosis curve respectively. The height at which the third primaryextension 23 should be positioned at the right lateral midline of theuser's torso is at the height corresponding to the apical vertebrae.

If the apex of the scoliosis curve targeted for treatment is to thepatient's left, then the position of the frame assembly 41 should bealtered from the aforementioned description by 180 degrees in thefrontal plane such that the first and second primary extension 21,22 arepositioned on the right lateral midline of the user's torso.Additionally, the relative positions of the first primary extension 21and the second primary extension 22 reverse compared to theaforementioned description—the first and second primary extensions 21,22are positioned at the height of the bottom and top vertebrae of thescoliosis curve respectively.

If compensatory scoliosis curve(s) exist at the top and/or the bottom ofthe scoliosis curve targeted for treatment (with an apex to the side ofthe user's torso opposite that of the scoliosis curve targeted fortreatment), then the primary extensions 21,22 that correspond to the topand bottom of the scoliosis curve targeted for treatment should bepositioned at the lateral midline of the user's torso at the heightcorresponding to the vertebrae considered the apex of the compensatoryscoliosis curve.

After the orientation of the frame assembly 41, and position of theprimary extensions 21,22,23 have been determined, a contact panel 34 isfastened to each of the first and second primary extensions 21,22 via asliding fixture 24, and a contact panel 34 is fastened to the thirdprimary extension 23 via the parallel extender assembly 50. Each contactpanel 34 is contoured and shaped to accommodate the user's body in theintended location corresponding to the predetermined height of therespective primary extension 21,22,23.

After contact panels 34 have been fastened to the sliding fixtures 24and the parallel extender assembly 50, the frame assembly 41 ispositioned posterior to the user as heretofore described, and theprimary extensions 21,22,23 are adjusted to the predetermined heightsrelative to the users body as heretofore indicated in the followingmanner: The contact panel 34 of the third primary extension 23 is placedon the lateral and posterolateral region of the user's torso thatcorresponds to the height of the apical vertebrae of the scoliosis curvetargeted for treatment. With the device stabilized to maintain thecontact panel 34 of the third primary extension 23 in position thereof,the relative height of the first and second primary extensions 21,22 arethen adjusted on the parallel frame member 42 to the move the first andsecond primary extensions 21,22 and their corresponding contact panels34 to the predetermined height, heretofore described, on the users body.

Next, the third primary extension 23 is adjusted medially on theperpendicular frame member 43 so that the corresponding contact panel 34contacts and applies positive force at the intended location on theuser's torso at the height corresponding to the apex of the scoliosiscurve. The position of the third primary extension 23 on theperpendicular frame member 43 is then locked via thumb screw 25.

In the embodiment of FIGS. 3-10, the next step is to move the adjustablearms 30 into a position that places the contact panels 36 in the desiredlocation on the user's body to reduce the user's skeletal asymmetriesthat have resulted from vertebral rotation. The placement of the contactpanels 36 thereof also stabilizes the rotational orientation of theuser's body during the final adjustment of the contact panel 34 of thethird primary extension 23 described hereafter. The exact placement ofthe adjustable arms 30 and contact panels 36 will vary on a case by casebasis depending on the clinical presentation of the user and the areaswhere asymmetries resulting from vertebral rotation are most apparentand clinically relevant. Locations in which the contact panels 36 may becommonly placed in treatment of a right thoracic scoliosis curve, forexample, are the anterior portion of the left 7th & 8th rib and costalarch, the anterior aspect of the right shoulder at coracoid process andpectoralis minor tendon, and the anterior aspect of the left and/orright side of the pelvis between the anterior superior iliac spine andthe pubis.

The contact panels 36 are positioned by, first, rotating the adjustablearm 30 so that the adjustable arm 30 is directly anterior to the desiredasymmetric location on the user's body; second, adjusting the contactpanel 36 along the adjustable arm's slot 37 so that the contact panel 36is directly anterior to the desired location on the user's body with theasymmetry; third, with the adjustable arm thumb screw 31 unlocked,moving the adjustable arm 30 linearly in an anterior to posteriordirection until the contact panel 36 has moved the prominent aspect ofthe user's body into a position of acceptable symmetry by derotatingthat segment of the user's torso. Once the user is in the desiredposition, the adjustable arm thumb screw 31 is locked.

The final adjustment of the device, according to the embodiment of FIGS.3-10, is moving the contact panel 34 of the third primary extension 23anteromedially via the parallel extender assembly 50 by tightening theadjustment shaft 55 until one of the following occurs: the discomforttolerance of the user has been reached, or it has been determined thatthe user's spine has reached optimal alignment.

The device according to the embodiment of FIG. 3-10 can be used forvarious purposes. Goals that can be achieved through application of thedevice according to the embodiment of FIG. 3-10 include but are notlimited to: a digital optical 3D scan can be performed of the user withthe device applied in order to fabricate an orthopedic brace fortreatment of the spinal deformity; a radiograph of the user's spine canbe conducted with the device applied to determine if the patient's spinepossesses sufficient flexibility for an orthopedic brace to effectivelyalign the user's spine; a plaster cast may be applied prior toapplication of the device and the device and cast removed once theplaster begins to harden to use the plaster cast in fabrication of anorthopedic brace for treatment of the spinal deformity; a plaster castmay be applied prior to application of the device for the purposes ofserial plaster casting treatment and the device removed once the plasterhas hardened; the device according to FIGS. 3-10 may be directly used tobrace a user in treatment of the spinal deformity; the device may beused to position the user with optimal spine alignment for surgicalprocedure purposes; the device may be used to position, align, realign,approximate, assess, hold, suspend, compress, extend, cue, inhibit,facilitate, and combinations thereof for the purposes of physicaltherapy or other medical modalities.

During use of the device according to the embodiment of FIGS. 3-10, theweight of the device may be completely supported by the user, or may bepartially or fully supported by cords or stretchable tethers to decreasethe vertically oriented, downward force vector created by the weight ofthe device placed on the user's torso and pelvis.

Description of Embodiment of FIG. 13

The description of the embodiment of FIG. 13 is inclusive of descriptionof the embodiment of FIGS. 3-10, heretofore described, and theembodiment of FIG. 13 further comprises a sliding perpendicular framemember 60 that is slidably coupled to the parallel frame member 42. Theposition of the sliding perpendicular frame member 60 is adjustablevertically, and lockable on the parallel frame member 42 via a thumbscrew 25.

A fourth primary extension 64 having a first end and a second end isslidably coupled by its second end to the sliding perpendicular framemember 60. The fourth primary extension 64 possesses at least threeslotted surfaces, the slots running parallel to the long axis of thefourth primary extension 64. The slots of the fourth primary extensionare configured to accommodate adjustable arms 30, heretofore described.The fourth primary extension 64 is configured to lock in an unlimitednumber of positions along the length of the sliding perpendicular framemember 60 via a thumb screw 25.

A linear scale 49 is placed or engraven on the posterior surface of thesliding perpendicular frame member 60, and may also be placed orengraven on a lateral surface of the fourth primary extension 64. Thelinear scale 49 allows for measuring the distances between contactpanels 34 in the frontal plane, allows for measuring the distancebetween contact panels 36 in the sagittal plane, and/or allows formeasuring a change in dimensions of the user's torso between the user'storso at rest and in a corrected position.

In the embodiment of FIG. 13 a sliding fixture 24 is disposed on atleast one side of the fourth primary extension 64. The position of thesliding fixture 24 is adjustable along the length of the slots of thefourth primary extension 64 running parallel to the long axis of thefourth primary extension 64. Additionally, the sliding fixture 24 isconfigured to lock in a selected position along the length of the fourthprimary extension 64.

In the embodiment of FIG. 13 a contact panel 34 is configured to fastento the sliding fixture 24 of the fourth primary extension 64. Thecontact panel 34 of the fourth primary extension 64 comprises asemi-rigid to rigid panel contoured to accommodate the shape of theregion of the user's body to which it is intended to contact such thatforces are distributed substantially evenly. While the embodiment ofFIG. 13 depicts spacers 40 being positioned between the contact panel 34and sliding fixture 24 of the fourth primary extension, other means forfastening the contact panel 34 to the sliding fixture 24 may be used.

Operation of the Embodiment of FIG. 13

The embodiment of FIG. 13 operates in a manner similar to that of theembodiment of FIGS. 3-10 with additional steps in its operation. Theoperation of the embodiment of FIG. 13 requires the following steps inaddition to that which is heretofore spelled out in the operation ofFIGS. 3-10:

After a contact panel 34 has been fastened to each of the first, second,and third primary extensions 21,22,23, a contact panel 34 is fastened tothe fourth primary extension 64 via a sliding fixture 24.

During the process of positioning the primary extensions 21,22,23 to thepredetermined heights relative to the users body, the slidingperpendicular frame member 60 and fourth primary extension 64 arepositioned to the desired height for maximizing improved spine alignmentand the sliding perpendicular frame member 60 is locked in its locationon the parallel frame member 42 via a thumb screw 25.

After the third primary extension 23 is adjusted medially on theperpendicular frame member 43 so that the corresponding contact panel 34contacts the intended location on the user's torso and is locked, thefourth primary extension 64 is adjusted medially on the slidingperpendicular frame member 60 so that the contact panel 34 of the fourthprimary extension 64 contacts the intended location on the user's torso.Sufficient manual force may be provided to move the contact panel 34 ofthe fourth primary extension 64 toward the user's body to achieve thedesired spinal alignment correction. Then the position of the fourthprimary extension 64 on the sliding perpendicular frame member 60 islocked via a thumb screw 25.

Description of embodiment of FIG. 14.

FIG. 14 depicts an adjustment to the orthopedic device relative to theembodiment of the orthopedic device in FIGS. 3-10 wherein the embodimentof FIG. 14 is depicted as not comprising a parallel extender assembly50. The embodiment of FIG. 14 comprises a sliding fixture 24 disposed onat least one surface of the third primary extension 23. A contact panel34 is fastened to the sliding fixture 24 of the third primary extension23.

The embodiment of FIG. 14 is depicted as not comprising adjustable arms30. While the embodiment of FIG. 14 does not comprise adjustable arms30, the primary extensions are configured to accept and employadjustable arm(s) 30.

Operation of Embodiment of FIG. 14

The embodiment of FIG. 14 is configured to move a user's torso into aposition in which the user's misaligned spine is closer to that of aphysiologically normal spine by the change in position of the contactpanels 34, and the effect thereof on user's body and spine position.

The first step in operating the embodiment of FIG. 14 is to fasten acontact panel 34 to each of the first, second and third primaryextensions 21,22,23 via sliding fixtures 24, the contact panels 34 beingcontoured to accommodate the user's body at the intended location ofapplication.

For the purposes of aligning a user's hyperkyphotic spine, the frameassembly 41 may be positioned either to the user's right or left,oriented in such a manner that the first and second primary extensions21,22 are anterior to the user's torso and the third primary extension23 is posterior to the user's torso. The embodiment of FIG. 14 depictsthe frame assembly 41 as being positioned to the left of the user'storso oriented such that the first primary extension 21 is superior tothe second primary extension 22.

After the frame assembly is positioned and oriented appropriately withthe first and second primary extension 21,22 anterior to the user, andthird primary extension 23 posterior to the user, the position of thedevice according to the embodiment of FIG. 14 is adjusted so that thecontact panel 34 of the third primary extension 23 contacts theposterior midline of the users back directly posterior to the spinousprocess of the most posterior thoracic vertebrae.

Then, the relative height of the first primary extension 21 is adjustedon the parallel frame member 42 so that the contact panel 34 of thefirst primary extension 21 is over the desired location on the user'sbody, which may vary on a case by case basis with a common location ofplacement being the superior sternum just below the sternal notch.

Then, the relative height of the second primary extension 22 is adjustedon the parallel frame member 42 so that the contact panel 34 of thesecond primary extension 22 is over the desired location on the user'sbody which may vary on a case by case basis, with common placementlocations including the pubis or abdomen.

Next, the user actively extends his or her torso towards a position inwhich his or her spine is aligned as close to that of a physiologicallynormal spine as possible. Additional manual force may be temporarilyapplied to the user's body to assist in attaining an optimal position.The user's upper extremities may also be temporarily supported on astable platform to augment thoracic primary extension. In order toassist the user in extending their spine, the device according to FIG.14 may also be temporary stabilized or leaned against a stable object sothat the user may lean into and extend over the contact panel 34 of thethird primary extension 23 assisting in alignment of the thoracic spinetoward that of a physiologically normal spine.

Finally, with the user maintaining the position of improved spinealignment, the position of the third primary extension 23 is adjusted onthe perpendicular frame member 43 by moving it as close to the first endof the perpendicular frame member 43 as the user's body will allow. Theposition of the third primary extension 23 on the perpendicular framemember 43 is then locked by tightening the thumb screw 25, and the userreturns to standing unsupported by stabilized objects.

Goals that can be achieved through application of the device accordingto the embodiment of FIG. 14 include but are not limited to: a digitaloptical 3D scan can be performed of the user with the device applied inorder to fabricate an orthopedic brace for treatment of the spinaldeformity; a radiograph of the user's spine can be conducted with thedevice applied to determine if the patient's spine possesses sufficientflexibility for an orthopedic brace to effectively align the user'sspine; a plaster cast may be applied prior to application of the deviceand the device and cast removed once the plaster begins to harden to usethe plaster cast in fabrication of an orthopedic brace for treatment ofthe spinal deformity; a plaster cast may be applied prior to applicationof the device for the purposes of serial plaster casting treatment andthe device removed once the plaster has hardened; the orthopedic deviceaccording to FIG. 14 may be directly used to brace a user in treatmentof the spinal deformity; the device may be used to position the userwith optimal spine alignment for surgical procedure purposes.

During use of the device according to the embodiment of FIG. 14, theweight of the device may be completely supported by the user, or may bepartially or fully supported by elastic cords or stretchable tethers todecrease the vertically oriented, downward force vector created by theweight of the device placed on the user's torso and pelvis.

Description of embodiment of FIGS. 15-17.

FIGS. 15-17 depict an adjustment to the orthopedic device relative tothe embodiment of FIGS. 3-10 wherein two frame brackets 44, each havinga first end and second end, are connected by the second ends thereof tothe first end of the perpendicular frame member 43. The frame brackets44 are positioned on opposing sides of the perpendicular frame member 43such that the frame brackets 44 extend past the first end of theperpendicular frame member 43, and extend past the parallel frame member42 on opposing sides of the parallel frame member 42. Each of the framebrackets 44 define a hole 45, the axis of the hole 45 of each framebracket 44 aligning with the hole of the other frame bracket 44. Theparallel frame member 42 defines a hole located substantially on thecenterline of the parallel frame member 42. The hole of the parallelframe member is aligned with the holes 45 of each of the two framebrackets 44. A bolt 45 fits through the holes 45 of the two framebrackets 44, and the parallel frame member 42 with the parallel framemember 42 positioned between the two frame brackets 44. The long axis ofthe bolt 45 is the axis of rotation around which the parallel framemember 42 rotates relative to the perpendicular frame member 43. Theaxis of rotation of the parallel frame 42 member is substantiallyparallel to each of the three primary extensions 21,22,23.

In contrast to the embodiment of FIGS. 3-10, the parallel frame memberin the embodiment of FIGS. 15-17 is spaced apart from the perpendicularframe member 43 adequate for the parallel frame member 42 to rotateabout the axis of rotation thereof without interference from theperpendicular frame member 43.

In the embodiment of FIGS. 15-17, the first ends of each of the twoframe brackets 44 extend past the parallel frame member 42 and connectto a bracket connector 93. The bracket connector 93 has a first end anda second, each of the two frame brackets 44 extending on opposing sidesof the second end of the bracket connector 93. The bracket connector 93is positioned parallel to, and in-line with, the perpendicular framemember 42. The position of the bracket connector 93 is spaced apart fromthe parallel frame member 42 adequate for the parallel frame member 42to rotate about the axis of rotation thereof without interference fromthe bracket connector 93.

In the embodiment of FIGS. 15-17, a stabilizing link 46 having a firstend and a second end is pivotally coupled by the first end thereof via amachine screw to the parallel frame member 42 at a location between thefirst end of the parallel frame member 42 and the point at which theframe bracket 44 connects to the parallel frame member 42. The secondend of the stabilizing link 46 slidably and pivotally couples to theperpendicular frame member via a thumb screw 47. The second end of thestabilizing link 46 defines a slot through which the thumb screw 47 fitsand fastens to the perpendicular frame member 43 through a correspondinghole in the frame bracket 44.

The embodiment of FIGS. 15-17 depicts another adjustment to theorthopedic device relative to the embodiment of FIGS. 3-10, wherein afirst suspension frame member 91 is rigidly connected to the first endof the bracket connector 93, the first suspension frame member 91 beingoriented parallel to that of the primary extensions 21,22,23. The firstsuspension frame member 91 has a first end and a second end, the secondend thereof being connected to the first end of the bracket connector93. Two suspension loops 90 are mounted to the first end of the firstsuspension frame member 91.

In the embodiment of FIGS. 15-17, a second suspension frame member 92 isrigidly connected to the second end of the perpendicular frame member43, the second suspension frame member being oriented parallel to thatof the primary extensions 21,22,23. The second suspension frame member92 has a first end and a second end, the second end thereof beingconnected to the second end of the perpendicular frame member 43. Twosuspension loops 90 are mounted to the first end of the first suspensionframe member 91.

The suspension loops 90 of both the first and second suspension framemembers 91,92 are configured to be connected to by a separate supportingstructure wherein the supporting structure supports the weight of theorthopedic device according to the embodiment of FIGS. 15-17 via thesuspension loops 90.

The embodiment of FIGS. 15-17 depict another adjustment to theorthopedic device relative to the embodiment of FIGS. 3-10 wherein atleast one pivoting plate 38 pivotally mounts to the panel side 28 of atleast one of the sliding fixtures 24. The pivoting plate defines a holethrough which a machine screw 39 fits that pivotally mounts the pivotingplate 38 to the sliding fixture 24. The pivoting plate 38 rotates aroundthe machine screw 39, and the angle of the pivoting plate 38 relative tothe sliding fixture 24 is selectively lockable via the thumb screw 33 ofthe sliding fixture 24. The contact panel 34 mounts to the pivotingplate 38 via press-fit nuts 48 secured to the pivoting plate 38.

FIGS. 18-19 provide a detailed view of the pivoting plate 38 of theembodiment of FIGS. 15-17. The pivoting plate 38 is pivotally mounted tothe sliding fixture 24.

The embodiment of FIGS. 15-17 depict another adjustment to theorthopedic device relative to the embodiment of FIGS. 3-10 wherein asecondary extension 70 having an elongate body, and having a mount endand a pad end is configured to removably mount at any point along any ofthe slots 26 defined by the first, second, or third primary extensions21,22,23. The secondary extension 70 removably mounts to the slot 26defined by the primary extension toward the mount end of the secondaryextension 70, via a thumb screw 75 placed through a hole defined by thesecondary extension 70. An anti-rotation mechanism comprising a torsionpin 76 extends through a hole in a flange of the secondary extension 70,the torsion pin 76 configured to fit in the slot 26 defined by theprimary extension 23 to which the secondary extension is attached. Thetorsion pin 76 is configured to prevent rotation of the secondaryextension 70 about the thumb screw 75 of the secondary extension 70.

The elongate body of the secondary extension 70 defines a pivoting joint73 on which the pad end of the at least one secondary extension 70rotates relative to the mount end of the at least one secondaryextension 70, the axis of rotation being substantially parallel to longaxis of the primary extension 21,22,23 on which the at least onesecondary extension 70 removably mounts. The pivoting joint 73 of the atleast one secondary extension 70 is configured to selectively lock theangle of the pad end of the secondary extension relative to the mountend of the secondary extension 70 via a locking knob 74.

The embodiment of FIGS. 15-17 depicts another adjustment to theorthopedic device relative to the embodiment of FIGS. 3-10, wherein ananchor 80 is configured to slideably mount to any one of the slots 26defined by the first, second, or third primary extensions 21, 22, 23.The anchor 80 is configured to selectively lock at any point along anyone of the slots 26 defined by the first, second, or third primaryextensions 21,22,23 via a thumb screw 81 placed through a hole definedby the anchor 80. The anchor 80 defines a threaded hole, the threadsthereof being configured to match the external threads of an anchoradjustment shaft 83. The anchor adjustment shaft 83 has a first end anda second end.

In the embodiment of FIGS. 15-17, the mount end of at least oneadjustable arm is configured with flange 82, the flange defining a hole.The centerline of the hole defined by the flange 82 of the adjustablearm 30 is parallel to the long axis of the primary extension to whichthe adjustable arm 30 is mounted. The first end of the anchor adjustmentshaft 83 extends through the hole of the flange 82 of the adjustable arm30. The second end of the anchor adjustment shaft 83 extends through thethreaded hole of the anchor 80. The anchor adjustment shaft 83 isrotatably coupled to the adjustable arm flange 82 toward the first endof the anchor adjustment shaft via two lock nuts mounted on the anchoradjustment shaft 83 on opposing sides of the adjustable arm flange 82. Aknob 84 is mounted on the second end of the anchor adjustment shaft 83.

The embodiment of FIGS. 15-17 depicts another adjustment to theorthopedic device relative to the embodiment of FIGS. 3-10, wherein theparallel extender assembly further comprises a pivoting plate 38, apivoting shaft bracket 56, an adjustment shaft knob 57, and a hole 58defined by the stationary plate 51 in which the adjustment shaft engager54 is configured to fit.

The pivoting plate defines a hole through which a machine screw 62extends, the machine screw 62 connecting to the moving plate 52. Thepivoting plate 38 rotates around the machine screw 62, and the angle ofthe pivoting plate 38 relative to the moving plate 52 is selectivelylockable via the thumb screw 66. The contact panel 34 mounts to thepivoting plate 38 via press-fit nuts 48 secured to the pivoting plate38.

The pivoting shaft bracket 56 comprising two sides and a base isconfigured to pivotally mount to the moving plate 52. The moving plate52 comprises two legs between which the pivoting shaft bracket 56 islocated. Each leg of the moving plate 52 defines a hole and each side ofthe pivoting shaft bracket 56 defines a hole. A pin 63 extends throughboth holes of the moving plate 52 thereof, and through both holes of thepivoting shaft bracket 56 thereof. The pivoting shaft bracket 56 rotatesabout the pin 63 thereof relative to the moving plate 52. The second endof the adjustment shaft 55 is rotatably coupled to the pivoting shaftbracket 56 via a hole defined by the base of the pivoting shaft bracket56. The second end of the adjustment shaft 55 extends through the holedefined by the base of the pivoting shaft bracket 56 and two lock nutsconnect to adjustment shaft 55 on opposing sides of the base of thepivoting shaft bracket 56. The adjustment shaft knob 57 is connected tothe first end of the adjustment shaft 55.

FIG. 17 provides a detailed view of the parallel extender assembly ofthe embodiment of FIGS. 15-17. The hole 58 defined by the stationaryplate 51 is an alternate location at which the adjustment shaft engager54 may rotatably fit.

Operation of the Embodiment of FIGS. 15-17

The embodiment of FIGS. 15-17 operates in a manner similar to that ofthe embodiment of FIGS. 3-10 with an adjustment to steps in itsoperation. The angle of the parallel frame member 42 is adjusted to thedesired angle relative to the perpendicular frame member 43 in order toadjust the coordinates of the first and second primary extension 21,22relative to the user. The stabilizing link thumbscrew 47 is loosenedprior to the aforementioned angle adjustment, and tightened after theaforementioned angle adjustment. This adjustment of the angle of theparallel frame member 42 may be performed prior to adjusting theposition of the third primary extension 23 medially on the perpendicularframe member 43.

The angle of at least one pivoting plate 38 is adjusted relative to thesliding fixture 24 and/or moving plate 52 to which the pivoting plate ispivotally mounted. This is performed to accommodate and/or match the ribangle of the user. This is accomplished by loosening the thumbscrew 33,66, rotating the pivoting plate 38 to the desired angle relative to thesliding fixture 24 and/or moving plate 52 and tightening the thumbscrew33,66. This adjustment is performed after the orientation of the frameassembly 41, and position of the primary extensions 21,22,23 have beendetermined, but before positioning the embodiment of FIGS. 15-17 on thepatient.

The secondary extension 70 is mounted to the desired primary extension21,22,23 via the secondary extension thumb screw 75 in order tofacilitate a balanced position of the patient in the frontal plane withthe embodiment of FIG. 15-17 applied. This is performed when thealignment of the T1 vertebrae of the user is not aligned vertically overthe middle of the sacrum of the user in the frontal plane. To apply thesecondary extension 70 the mount end of the secondary extension isconnected to the desired primary extension 21,22,23 by tightening thethumbscrew 75 with the thumbscrew 75 extending through a threaded nut ina slot of the primary extension 21,22,23. Then the secondary extensionpivoting joint knob 74 is loosened with the user holding a position offrontal plane alignment and the pad end of the secondary extension 70 isput into contact with the user's body at the height of the pelvis orbelow. Then the secondary extension pivoting joint knob 74 is tightened.

The anchor 80 is operated for the purpose of incrementally adjusting theanterior to posterior position of the adjustable arm 30. This isperformed by moving the anchor 80 and adjustable arm 30 in tandem withthe anchor adjustment shaft 83 connecting the anchor 80 and theadjustable arm 30. Once the adjustable arm 30 has reached the initialdesired position, the anchor thumb screw 81 is tightened. The positionof the adjustable arm 30 on the primary extension 21,22,23 to which itis mounted is then further adjusted by turning the anchor adjustmentshaft knob 84.

What is claimed is:
 1. An orthopedic device comprising: a frame assemblycomprising a parallel frame member and a perpendicular frame member,each of the parallel frame member and the perpendicular frame memberbeing substantially elongate in shape, and each having a first end and asecond end; at least three primary extensions each having a mount endand a free end; wherein the perpendicular frame member is coupled by thefirst end thereof to the parallel frame member along the length of theparallel frame member between the first end and the second end thereof;wherein one of the at least three primary extensions is adjustablydisposed by the mount end thereof along the length of the parallel framemember between the first end of the parallel frame member and thelocation at which the parallel frame member is coupled to theperpendicular frame member; wherein one of the at least three primaryextensions is adjustably disposed by the mount end thereof along thelength of the parallel frame member between the second end of theparallel frame member and the location at which the parallel framemember is coupled to the perpendicular frame member; wherein one of theat least three primary extensions is adjustably disposed by the mountend thereof along the length of the perpendicular frame member betweenthe second end of the perpendicular frame member and the location atwhich the perpendicular frame member is coupled to the parallel framemember.
 2. The orthopedic device of claim 1 wherein: the parallel framemember and the perpendicular frame member are rigidly coupled, theparallel frame member and the perpendicular frame member being orientedperpendicular to one another; the parallel frame member andperpendicular frame member are not moveable one relative to the other.3. The orthopedic device of claim 1 further comprising: a slidingperpendicular frame member having a first end and a second end, and afourth primary extension having a first end and a second end; whereinthe first end of the sliding perpendicular frame member is slidablycoupled to the parallel frame member, the position of the slidingperpendicular frame member being selectively lockable on the parallelframe member; wherein the second end of the fourth primary extension isslidably coupled to the sliding perpendicular frame member, the positionof the fourth primary extension being selectively lockable on thesliding perpendicular frame member.
 4. The orthopedic device of claim 1wherein the parallel frame member and the perpendicular frame member arepivotally coupled.
 5. The orthopedic device of claim 1, furthercomprising at least one frame bracket belonging to the frame assembly,the at least one frame bracket defining a pivot point, and having afirst end, and a second end; wherein the second end of the at least oneframe bracket is connected to the first end of the perpendicular framemember; wherein the parallel frame member is rotatably coupled to the atleast one frame bracket at the pivot point defined by the at least oneframe bracket; wherein the parallel frame member is rotatable about oneaxis of rotation, the axis of rotation thereof being substantiallyperpendicular to both the long axis of the parallel frame member and thelong axis of the perpendicular frame member; further comprising astabilizing link having a first end and a second end; wherein thestabilizing link is configured to pivotally and slidably couple from thesecond end thereof to the perpendicular frame member; wherein thestabilizing link is configured to pivotally couple from the first endthereof to the parallel frame member; wherein the stabilizing link isadjustably lockable on the frame assembly thereby selectively lockingthe angle between the parallel frame member and the perpendicular framemember; wherein the positions of the at least three primary extensionsare adjustable along the length of the portion of the frame assembly onwhich they are disposed; wherein the at least three primary extensionsare substantially parallel to one another.
 6. The orthopedic device ofclaim 5 wherein the parallel frame member and the perpendicular framemember are configured to receive the at least three primary extensionsvia slots oriented parallel to the long axes of the respective framemembers, the mount end of each of the at least three primary extensionsbeing configured to slide and selectively lock in position along theframe member to which they are disposed.
 7. The orthopedic device ofclaim 6 further comprising at least one adjustable arm having a mountend and a free end, the at least one adjustable arm configured to beadjustably disposed on at least one of the at least three primaryextensions.
 8. The orthopedic device of claim 7, further comprising atleast one parallel extender assembly, the parallel extender assemblycomprising: a stationary plate configured to adjustably mount to aprimary extension; at least one strut having a first end and a secondend, the first end being coupled to the stationary plate; a moving platecoupled to the second end of the at least one strut; an adjustment shafthaving a first end and a second end, the second end being coupled to themoving plate, an adjustment shaft engager coupled to at least one of thestationary plate or the primary extension to which the at least oneparallel extender assembly is coupled, the adjustment shaft engagerbeing configured to control the position of the adjustment shaftrelative to the component to which the adjustment shaft engager iscoupled; wherein each of the at least one parallel extender assembly isadjustably mounted to a primary extension.
 9. The orthopedic device ofclaim 8, wherein: the at least one adjustable arm has a mount end and afree end; each of the at least three primary extensions define at leastone slot oriented parallel to the long axis thereof; the mount end ofthe at least one adjustable arm is configured to slidably mount in theat least one slot of the at least three primary extensions andselectively lock in position along the length of the at least one slot;the at least one adjustable arm defines a pivoting joint on which thefree end of the at least one adjustable arm rotates relative to themount end of the at least one adjustable arm, the axis of rotation beingsubstantially parallel to long axis of the primary extension on whichthe at least one adjustable arm slidably mounts; the pivoting joint ofthe at least one adjustable arm is configured to selectively lock theangle of the free end of the adjustable arm relative to the mount end ofthe adjustable arm.
 10. The orthopedic device of claim 9, furthercomprising at least one sliding fixture having a first end and a secondend, and having a projection side and a panel side, wherein theprojection side of the sliding fixture is configured to slideably mountto and selectively lock in-place on the at least one slot defined by anyone of the at least three primary extensions; further comprising atleast one contact panel, each of the at least one contact panelconfigured with a contour to accommodate the surface anatomy of theregion to which the contact panel is applied; wherein the at least onecontact panel is configured to mount on the at least one slidingfixture.
 11. The orthopedic device of claim 10, wherein: the at leastone adjustable arm defines at least one slot oriented parallel to thelong axis thereof; the slot of the adjustable arm is configured toreceive the projection side of the at least one sliding fixture;
 12. Theorthopedic device of claim 11, wherein: the at least two struts of theat least one parallel extender assembly are four struts of equal length;the stationary plate is pivotally coupled to the first end of the fourstruts, each of the four struts configured to rotate about one axisrelative to the stationary plate; the four struts are pivotally coupledby the second ends thereof to the moving plate; the locations at whichthe four struts are pivotally coupled to the stationary plate are equaldistances from one another respectively, and in the same arrangementrelative to one another, as the locations at which the four strutspivotally couple to the moving plate; the adjustment shaft is threadedwith an external spiral thread, the adjustment shaft having a knobmounted on the first end thereof; the adjustment shaft engager has acylindrically shaped body, the adjustment shaft engager having a holethrough the body thereof, the hole thereof having an axis that isperpendicular to the axis of the cylindrical shaped body of theadjustment shaft engager, the hole thereof having internal threads tomatch the external threads of the adjustment shaft; each of thestationary plate and the primary extension to which the at least oneparallel adjuster assembly is mounted are configured with a hole toaccept the adjustment shaft engager; the adjustment shaft engager isrotatably mounted in at least one of the hole placed in the extension towhich the at least one parallel extender assembly mounts or the holeplaced in the stationary plate; the adjustment shaft is coupled by thesecond end thereof to the moving plate via a pivoting shaft bracketconfigured to pivotally mount to the moving plate, the pivoting shaftbracket being configured to rotatably mount to the second end of theadjustment shaft; the at least one parallel extender assembly iscomprised of at least one material selected from the group of metal, andplastic, and combinations thereof, the selected material being ofsufficient rigidity and strength to prevent collapse or fracture of theparallel extender assembly or any components thereof.
 13. The orthopedicdevice of claim 12, further comprising: a pivoting plate defining apivot point, the pivoting plate configured to pivotally mount on thepanel side of the sliding fixture, the pivoting plate configured to bemounted on by the at least one contact panel; wherein the at least onecontact panel mounts to the sliding fixture via the pivoting plate;wherein the sliding base defines a pivotal connection point whereto thepivoting plate pivotally connects; wherein the angle of the pivotingplate relative to the sliding base is selectively lockable.
 14. Theorthopedic device of claim 13 further comprising: at least one secondaryextension having an elongate body, the secondary extension having amount end and a pad end, the mount end thereof configured to removablymount to any of the at least one slot of any of the at least threeprimary extensions at any point along the length thereof; wherein theelongate body of the secondary extension defines a pivoting joint onwhich the pad end of the at least one secondary extension rotatesrelative to the mount end of the at least one secondary extension, theaxis of rotation being substantially parallel to long axis of theprimary extension on which the at least one secondary extensionremovably mounts; the pivoting joint of the at least one secondaryextension is configured to selectively lock the angle of the free end ofthe secondary extension relative to the mount end of the secondaryextension; the pad end of the at least one secondary extension isconfigured to accommodate the surface anatomy of the region to which thepad end of the at least one secondary extension is applied.
 15. Theorthopedic device of claim 14 wherein: the pivoting joint of the atleast one secondary extension is configured to selectively lock theangle of the free end of the adjustable arm relative to the mount end ofthe adjustable arm via a locking knob; the mount end of the at least onesecondary extension defines a hole extending from the grab side to theconnecting side; the mount end of the at least one secondary extensionremovably mounts to any of the at least three primary extensions via athumb screw placed through the hole defined by the mount end, the thumbscrew fastening to a nut placed into any of the at least one slot of anyof the at least three primary extensions; an anti-rotation mechanismprotruding from the secondary extension is configured to fit into theslot to which the at least one secondary extension is connected toprevent rotation of the at least one secondary extension around thethumb screw of the secondary extension.
 16. The orthopedic device ofclaim 15 further comprising: a linear scale disposed on at least oneselected from the group of the perpendicular frame member, the parallelframe member, the three primary frame members, and combinations thereof;a force plate disposed on at least one selected from the group of thesurface of the at least one contact panel configured to face the user,or the surface of the at least one contact panel facing the primaryextension to which the contact panel is indirectly connected.
 17. Theorthopedic device of claim 16 further comprising: At least one anchorconfigured to slidably mount to any one of the slots defined by thethree primary extensions, the at least one anchor configured toselectively lock at any point along the slots thereof; wherein the atleast one anchor is adjustably connected to the at least one adjustablearm via an anchor adjustment shaft, the anchor adjustment shaft having asubstantially elongate body having a first end and a second end, thefirst end of the anchor adjustment shaft being rotatably coupled to theadjustable arm, the second end of the anchor adjustment shaft beingadjustably coupled to the anchor.
 18. The orthopedic device of claim 17further comprising: a bracket connector having a first end and a secondend, the second end connected to the first end of the at least one framebracket; a first and a second suspension frame member, each of the firstand second suspension frame members having a first end and a second end;wherein the second end of the first suspension frame member is connectedto the first end of the bracket connector; wherein the second end of thesecond suspension frame member is connected to the second end of theperpendicular frame member; further comprising at least two loops;wherein at least one of the at least two loops is disposed on the firstend of the first suspension frame member; wherein at least one of the atleast two loops is disposed on the first end of the second suspensionframe member; wherein the at least two loops are configured to connectto and be supported by a separate support structure, the weight of theorthopedic device being supported by the at least two loops.
 19. Theorthopedic device of claim 18 wherein the orthopedic device isconfigured to at least, measure, position, align, realign, approximate,assess, hold, suspend, compress, extend, cue, inhibit, facilitate, andcombinations thereof, a musculoskeletal region of a user, themusculoskeletal region thereof being oriented substantially parallel tothe parallel frame member.
 20. The orthopedic device of claim 19 whereinthe orthopedic device is configured to at least, measure, position,align, realign, approximate, assess, hold, suspend, compress, extend,cue, inhibit, facilitate, and combinations thereof, a human spine.